<h2 class="contentTitle">登记信息录入</h2>
<div class="pageContent">
	<form method="post" action="__URL__/add_install" class="pageForm required-validate" onsubmit="return validateCallback(this, navTabAjaxDone);">
		<input type="hidden" name="grade" value="暂无等级" />
		<input type="hidden" name="condition" value="暂无故障" />
		<input type="hidden" name="other" value="暂无其他要求" />
		<div class="pageFormContent" layoutH="96">
		<fieldset>
			<legend>客户信息</legend>
			<dl>
				<dt>客户姓名：</dt>
				<dd><input type="text" name="cusname" value="张三"  class="required" size="30" /></dd>
			</dl>
			<dl class="nowrap">
				<dt>手机：</dt>
				<dd><input type="text" name="telephone" value="1"  class="required" size="30" /></dd>
			</dl>
			<dl class="nowrap">
				<dt>固话：</dt>
				<dd><input type="text" name="fixphone" value="1"  class="required" size="30" /></dd>
			</dl>
			<dl class="nowrap">
				<dt>地址：</dt>
				<dd><input type="text" name="address"  value="1" class="required" size="70" /></dd>
			</dl>
		</fieldset>

		<fieldset>
			<legend>商品信息</legend>
			<dl>
				<dt>购买商场：</dt>
				<dd><input type="text" name="buystore"  value="1" class="required" size="30" /></dd>
			</dl>
			<dl>
				<dt>产品型号：</dt>
				<dd><input type="text" name="model"  value="1" class="required" size="30" /></dd>
			</dl>

			<dl>
				<dt>品牌：</dt>
				<dd><input type="text" name="brand" value="1"  class="required" size="30" /></dd>
			</dl>
			<dl>
				<dt>类型：</dt>
				<dd><input type="text" name="kind" value="1"  class="required" size="30" /></dd>
			</dl>
			<dl>
				<dt>数量：</dt>
				<dd><input type="text" name="amount"  value="1" class="required" size="30" /></dd>
			</dl>
			<dl>
				<dt>购买日期：</dt>
				<dd><input type="text" name="buytime" value="2013-07-02"  class="date" size="30" /><a class="inputDateButton" href="javascript:;">选择</a></dd>
			</dl>
		</fieldset>

		<fieldset>
			<legend>其它信息</legend>
			<dl>
				<dt>预约时间：</dt>
				<dd><input type="text" name="ordertime"  value="2013-07-02" class="date" size="30" /><a class="inputDateButton" href="javascript:;">选择</a></dd>
			</dl>
			<dl>
				<dt>登记时间：</dt>
				<dd><input type="text" name="regtime" value="2013-07-02"  class="date" size="30" /><a class="inputDateButton" href="javascript:;">选择</a></dd>
			</dl>

			<dl>
				<dt>Type（后面隐藏）：</dt>
				<dd><input type="text" name="type" value="1" size="30" /></dd>
			</dl>
			<dl>
				<dt>录入人：</dt>
				<dd><input type="text" name="operator" value="1"  class="required" size="30" /></dd>
			</dl>

			<dl class="nowrap">
			<dt>备注：</dt>
			<dd><textarea name="remark"  value="1" cols="60" rows="2"></textarea></dd>
			</dl>

		</fieldset>

		</div>
		<div class="formBar">
			<ul>
				<!--<li><a class="buttonActive" href="javascript:;"><span>保存</span></a></li>-->
				<li><div class="buttonActive"><div class="buttonContent"><button type="submit">保存</button></div></div></li>
				<li>
					<div class="button"><div class="buttonContent"><button type="button" class="close">取消</button></div></div>
				</li>
			</ul>
		</div>
	</form>
</div>